济南地区10年来脊髓灰质炎死因的探討

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我院自1954年1月至1963年12月的10年中,共收容脊髓灰質炎1,391例,死亡者96例,病死率占6.9%。为进一步降低本病之死亡率,故将死亡原因加以分析如下,供同道参考。 資料分析 1.死亡与季节的关节:死于春季者3例(3.12%),夏季27例(28.11%),秋季59例(61.45%),冬季7例(7.28%)。由此可見,以秋季最多,夏季次之。若以月份計則以9月为最多,共26例,占27.08%;7月次之,共19例,占19.79%。此病死率所以夏秋較高,是与該病多发生于夏秋季节有关,和一般文献相符。 2.死亡与年龄、性別的关系:死亡者年龄最小为2个月,最大为19岁,3岁以下共50例(52.08%),其中6个月以下5例(5.12%), 6月-1岁21例(21.87%),1-2岁17例(17.71%),2-3岁7例(7.29%)。3-7岁共33例(34.37%),7岁以上13例(13.52%)。死亡以3岁以下为最多,尤以6月-1岁更为显著,惜未和所有病例的年龄組对比,但按1959年272例脊髓灰質炎总結,年龄越大病死率越高,本組死亡者以3岁以下最多,此与該病多发于嬰幼儿有关。 In our hospital from January 1954 to December 1963, 10,991 cases were polio and 96 died, accounting for 6.9% of all deaths. To further reduce the mortality of the disease, so the cause of death be analyzed as follows, for fellow reference. Data Analysis 1. Death and seasonal joints: 3 died in spring (3.12%), 27 cases (28.11%) in summer, 59 cases (61.45%) in autumn and 7 cases (7.28%) in winter. This shows that the most in autumn, followed by summer. If the month is the most in September, a total of 26 cases, accounting for 27.08%; July followed by a total of 19 cases, accounting for 19.79%. This mortality rate is higher in summer and autumn, is more with the disease occurred in summer and autumn, and consistent with the general literature. The relationship between death and age and gender: The minimum age of death was 2 months, the maximum was 19 years old, 50 cases (52.08%) under 3 years old, including 5 cases (5.12%) under 6 months, There were 21 cases (21.87%) at 1 year old, 17 cases (17.71%) at 1-2 years old and 7 cases (7.29%) at 2-3 years old. 33 cases (34.37%) were 3-7 years old and 13 cases (13.52%) were over 7 years old. The death was less than 3 years old, especially in June-1 year old, but not in all age groups. However, according to the polio summary of 272 cases in 1959, the older the case fatality rate, the higher The group of deaths to 3 years of age the most, with the disease mainly in infants and young children.
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